Owner Surrender Agreement Being of legal age to give consent, I do hereby voluntarily, irrevocably surrender, and release to Cat Paws Sanctuary Inc. the animal listed in this form Owner Name * First Name Last Name Email * Owner Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Your Veterinarian's Phone (###) ### #### Animal Name * Age of animal Sex of the animal * Male Female Unknown Is the animal spayed or neutered? * Yes No I don't know Disease status FELV FIV OTHER (explain in box below) Additional Information Please provide a brief history and general behavior of the animal Intake Requirements for Cats Please note: Certain requirements may be waived depending on the age and health condition of the cat. If you have any questions or believe an exception might apply to your situation, please contact the sanctuary directly for clarification. Mandatory Requirements: • Spay/Neuter: All cats must be spayed or neutered prior to intake. • Vaccinations: Current vaccinations are required for all cats. Please provide documentation from a licensed veterinarian. • Feline Leukemia Virus (FeLV) / Feline Immunodeficiency Virus (FIV) / Heartworm Testing: A recent combo test or Elisa test sent to Idexx is mandatory for all cats. • FeLV PCR Test: An additional FeLV PCR test using Idexx code 26354 FeLV Quant RealPCR Test OR 26355 FeLV Quant RealPCRTM Test. • Veterinary Records: Please provide all available veterinary records for your cat, including past vaccinations, medical history, and any relevant test results. Surrender Fee: A $250 surrender fee applies to all incoming cats. This fee directly contributes to the cat's comprehensive bloodwork, veterinary care, and overall well-being while at the sanctuary. If you donate in excess of $250, the surrender fee will be waived. Consent * I have disclosed any and all material information regarding the medical and behavioral history of said animal(s). I willfully surrender all medical records and information and give Cat Paws Sanctuary and its representatives permission to contact the treating veterinarian for any records or information which might be in their possession. Yes No Certification * I certify that no other person has a right of property to the animal. I understand that by surrendering my property rights to the animal. I also hereby certify that the animal has not bitten a human or another animal within the past 10 days. Yes No By clicking Submit, you agree to the terms of this surrender form. Thank you!
